The purpose of the Rural Children’s Mental Health Consortium (RCMHC) is to assess the mental and behavioral health needs of all children in Nevada’s rural and frontier counties and develop recommendations for service delivery improvements. Additionally, the RCMHC strives to support initiatives that bring lasting positive change to the Behavioral Health System of Care that greatly impacts children and families of Rural Nevada. The COVID-19 pandemic has continued to create long lasting challenges to an already strained system which negatively impacts youth and families. The RCMHC has recognized the impact of the COVID-19 pandemic on Rural families and continues to evaluate the everchanging needs of youth and families in the wake of the pandemic. As youth and families face increasing challenges from mental and behavioral health needs, the systems in Nevada to support these challenges need to evolve as well. Youth and families can only overcome these hurdles by strategic and sustained planning efforts to develop a more effective system of care for Rural and Frontier Nevadans.